ATI Skills Modules 4.0 Fluid, Electrolyte, and Acid-Base Regulation Test

Which of the following actions should a nurse take prior to starting a blood transfusion?n

Please make sure that informed consent has been obtained from the client.

A nurse has just inserted a peripheral IV catheter. Which of the following actions should the nurse

Apply an IV securement device.

A nurse is caring for a client who is about to receive a unit of packed red blood cells and states, "This is my third unit of blood today." I do not want to get some disease from all this blood. Which of the following responses should the nurse make

Donated blood is carefully screened for infectious diseases.

Which of the following actions should a nurse take when converting an IV infusion to a saline lock?

Flush the IV catheter to confirm patency.

Which of the following actions should a nurse take when converting an IV infusion to a saline lock

Pull the catheter straight back from the insertion site.

A nurse is caring for a client who is receiving a blood transfusion and reports itching. The nurse observes areas of urticaria on the client's skin. Which of the following actions should the nurse take

Stop the blood transfusion

A nurse is preparing a blood transfusion for a client who has type A blood. The nurse should know that the client can safely receive blood from a blood group O because of which of the following?

Typo O blood contains no A antigens.

A nurse is caring for a client who requires long-term central venous access and is an avid swimmer. Which of the following central venous access devices is the best choice for this client?

An implanted port.

A nurse is preparing to initiate the transfusion of a unit of packed RBCs to a client. After the unit of blood has arrived, which of the following procedures will help the nurse protect the client against the possibility of a blood group incompatibility?

Comparing the ID numbers on the blood unit with those on the order form and the client's wristband.

A nurse is caring for a client who has an implanted port that needs to be accessed for an infusion. Which of the following actions should the nurse take?

Cover the device and the needle with a sterile transparent dressing.

A nurse inserts a peripheral IV catheter and observes a blood return in the flashback chamber after puncturing the skin and the selected vein. Which of the following actions should the nurse perform next?

Advance the catheter into the vein with the finger hub.

A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10-mL syringe to prevent which of the following complications associated with central vascular access devices?

Catheter rupture.

A nurse has just initiated a new peripheral IV infusion with dextrose 5% in water for continuous infusion. How often should the nurse plan to replace the primary infusion tubing?

Every 96 hr

A nurse is preparing to obtain a blood sample from a client who has a triple-lumen central catheter in place.

Turn off the distal infusion for 1 to 5 min before obtaining the blood sample.

A nurse is preparing to obtain a blood sample from a client who has a triple-lumen central catheter in place.

An intact catheter tip.

A platelet transfusion is indicated for which of the following types of clients?

a client who has thrombocytopenia.